鼻泪引流系统创伤及眶内侧壁重建后的内镜下泪囊鼻腔造口术
Endoscopic Dacryocystorhinostomy Following Nasolacrimal Drainage System Trauma and Medial Orbital Wall Reconstruction.
作者信息
Turner Laura Drayer, Gounder Pav A, Dobson Randolph, Rajak Saul N
机构信息
Ophthalmology, Sussex Eye Hospital, Brighton, UK.
Centre for Ophthalmology and Visual Science, University of Western Australia, Perth, WA, Australia.
出版信息
Craniomaxillofac Trauma Reconstr. 2024 Dec;17(4):NP77-NP81. doi: 10.1177/19433875241250221. Epub 2024 Apr 24.
STUDY DESIGN
Case series.
OBJECTIVE
To describe the assessment and surgical approach to dacryocystorhinostomy (DCR) for patients with nasolacrimal duct obstruction (NLDO) in the presence of orbital wall hardware.
METHODS
The pre-operative assessment, management and outcomes of two patients with secondary acquired NLDO following medial orbital wall fracture repair treated by nasal endoscopic DCR.
RESULTS
Anatomical and functional success was achieved in both cases at 6 weeks post operatively without disruption of the orbital plate. There was persistent success at 1 and 3 years' post-operatively.
CONCLUSIONS
Endoscopic DCR is a good option for the treatment of NLDO in patients with previous medial orbital wall fracture repair where the location of the plate may complicate the external approach.
研究设计
病例系列。
目的
描述存在眶壁固定物的鼻泪管阻塞（NLDO）患者行泪囊鼻腔吻合术（DCR）的评估及手术方法。
方法
对2例在内侧眶壁骨折修复术后继发获得性NLDO的患者进行鼻内镜下DCR手术的术前评估、处理及结果分析。
结果
2例患者术后6周均获得解剖学和功能学成功，眶板未受破坏。术后1年和3年持续成功。
结论
对于既往内侧眶壁骨折修复术后出现NLDO且固定物位置可能使外部手术方法复杂化的患者，内镜下DCR是一种治疗的良好选择。
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